Individual
SONYA SHAMALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
14127 78TH RD APT 2D, FLUSHING, NY 11367-3344
(347) 320-4835
Mailing address
14127 78TH RD APT 2D, FLUSHING, NY 11367-3344
(347) 320-4835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86156817
NY
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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